casias12

casias12

Cardiology nurse practitioner

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All Content by casias12

  1. New York NP Question

    casias12 replied to shadowness's topic in Nurse Practitioners, NP

    First off, a psychologist and a psychiatrist are different professions. You don't seem to be able to differrentiate the two. You clearly don't know the laws in your state. If your question was...

  2. New York NP Question

    casias12 replied to shadowness's topic in Nurse Practitioners, NP

    I would start by suggesting you brush up on your grammar. When you are done with that, maybe you could try reading the laws in your particular state. I am not familiar with the regulatory requirements...

  3. Passed Adult AANP Certification Exam

    casias12 posted a topic in Student Nurse Practitioner

    I am not sure how many people are taking AANP compared to ANCC. I passed it, and thought I would take a few minutes to share some thoughts. 1) The exam was much better than the books. I used...

  4. Hospitalist Nurse Practitioner Schedule Options

    casias12 replied to Amy3901's topic in Nurse Practitioners, NP

    Remember, you are addressing people who work these untenable” shifts. That definition is purely your own. Pattients don't stop coming, and most of the people who will interview you have been...

  5. New grad FNP: "Where else are you interviewing?"

    casias12 replied to NurseLauraM's topic in Advanced Practice

    When I am interviewing, I will disregard an applicant who doesn't answer the question, or tries to be vague. You should be able to use this as a talking point. Express your interests, and the interest...

  6. Tampa ARNP-one yr post grad still no job!

    casias12 replied to Agriffin2's topic in Advanced Practice

    Looks like OP has not been back in about a month. I tried to contact her because I have a job that would be perfect and pays decent, but she has not responded. Oh, well. Like most people who come on...

  7. Time for hospice referral?

    casias12 posted a topic in Advanced Practice

    Case: 84-year-old male who presented to hospital with weakness and fatigue. He had ground-level fall in his home one day prior. He was found in atrial fibrillation with RVR, Hgb 6.1, Hct 18.3, plt...

  8. Time for hospice referral?

    casias12 replied to casias12's topic in Advanced Practice

    Yes. His fall was attributed to the anemia. When he was transfused, he did well in rehab, then back home at his usual state of health. When he wasn't losing blood, he didn't have any other...

  9. Time for hospice referral?

    casias12 replied to casias12's topic in Advanced Practice

    Hey, no problem. Maybe that's why I see it so often and wonder why nurses are chiming in but don't seem to know the discussion is about ARNP issues. As for your hospital not allowing NP/PA's to refer...

  10. Tampa ARNP-one yr post grad still no job!

    casias12 replied to Agriffin2's topic in Advanced Practice

    Not trying to be rude. But mobile pool nurse need to be the top of their game, since they can be sent from Med/surg to cardiac step-down in the same shift. It really isn't a place for a nurse...

  11. Time for hospice referral?

    casias12 replied to casias12's topic in Advanced Practice

    Thank you for your insight, but maybe you need to go back and read the original post. First off, I am the provider. Why do nurses come to this forum and recommend that an MD order” this or that?...

  12. Time for hospice referral?

    casias12 replied to casias12's topic in Advanced Practice

    That was the question I had, and why I brought this case to this forum. When I first walked in, there was a Palliative Consult” taped to the front of the chart. I didn't ask for a palliative...

  13. Tampa ARNP-one yr post grad still no job!

    casias12 replied to Agriffin2's topic in Advanced Practice

    Are you suggesting a new NP, with zero experience who hasn't worked as a nurse for 6 years is hireable as mobile pool? Are you nuts? Are you talking about mobile pool as NP or

  14. NP's answering to Nursing Management?

    casias12 replied to ohiosam2's topic in Nurse Practitioners, NP

    I will elaborate on my real-world example posted in #26, and why I don't think many nurse managers are capable of managing NP practice. I was employed as part of a complex case management team for...

  15. Time for hospice referral?

    casias12 replied to casias12's topic in Advanced Practice

    I'm glad a couple of people asked about his cognitive and functional abilities. He is an otherwise healthy man with an average degree of function for his age. Lives with his wife, does his own ADL's,...

  16. NP's answering to Nursing Management?

    casias12 replied to ohiosam2's topic in Nurse Practitioners, NP

    I just left a position that was managed this way. We had an assigned "supervising physician", who was on paper only.,but my position was managed by the supervisor of case management. She couldn't...

  17. Paid by the amount of patients

    casias12 replied to bhudgins's topic in Advanced Practice

    I know this is a really old thread, but someone brought it to the top, so I thought I would mention the offer I just received. I was offered 50% of revenue to see patients in hospitals, LTAC, rehab,...

  18. Tampa ARNP-one yr post grad still no job!

    casias12 replied to Agriffin2's topic in Advanced Practice

    Baycare has a lot of NP positions "posted", but , in my experience, they have so many nurses in NP school, it is really hard to get in if you aren't working there already. I know it has been some...

  19. I'm So Over Nursing. I would rather work at Costco!!

    casias12 replied to rnfrombama's topic in General Nursing

    After reading your article, and all of this thread. It seems many of the main complaints are purely personal. I was a nurse for 20 years. I always found peace in 3 things. I bounced around and tried...

  20. From the files of "You can't make this up".

    casias12 posted a topic in Nurse Practitioners, NP

    I saw an 86-year-old female patient with hx of CHF, HTN, persitent peripheral edema with cellulitis and open, weeping wounds on her legs. Her BP is usually 150 or so. She tells me the home health...

  21. From the files of "You can't make this up".

    casias12 replied to casias12's topic in Nurse Practitioners, NP

    I am a nurse practtioner. And, I have actually known this patient for almost 10 years. I was with her during her first heart cath, and I did the venous ablation on her left leg about a year ago. The...

  22. From the files of "You can't make this up".

    casias12 replied to casias12's topic in Nurse Practitioners, NP

    Are you really trying to claim this 86-year-old woman made this up? That's really

  23. Sick of the Certs!!!!! Just let 'em be an NP!

    casias12 replied to bsnanat2's topic in Nurse Practitioners, NP

    In Tampa, USF dropped the ACNP education track, and University of Cincinnati did as well. These are each programs I am familiar with. To some degree, it is geographically dependent. The education was...

  24. Sick of the Certs!!!!! Just let 'em be an NP!

    casias12 replied to bsnanat2's topic in Nurse Practitioners, NP

    @FUTUREPSYCHNP: No, it is that I used the example of physician training as a model for an abbreviated version for NP's. The regulating bodies of our profession have created a huge controversy that...

  25. Sick of the Certs!!!!! Just let 'em be an NP!

    casias12 replied to bsnanat2's topic in Nurse Practitioners, NP

    A professional should always be aware that self-assessment of skills is an important trait. Do I feel that my online degree, 2 years of clinicals, and 25 years as an ICU, critical care, and post-heart...